Document Detail

Prenatal diagnosis and therapy for a fetal hepatic vascular malformation.
MedLine Citation:
PMID:  7724135     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Congenital hepatic arteriovenous malformations complicated by high-output heart failure and hematologic derangements are associated with up to 90% mortality. Prenatal diagnosis alerts the pediatrician to the need for early neonatal intervention. CASE: A fetal hepatic arteriovenous malformation with associated high-output cardiac failure was diagnosed at 29 weeks' gestation using real-time and color flow Doppler sonography. Hydrocortisone injected directly into the umbilical vein and the amniotic sac resulted in appreciable improvement in hemodynamic and hematologic indices. The pregnancy ended in a preterm delivery at 31 weeks with no evidence of heart failure at birth. CONCLUSION: The compromised preterm fetus with a hepatic arteriovenous malformation can be treated in utero, avoiding early emergency delivery.
A A Mejides; A M Adra; M J O'Sullivan; M C Nicholas
Related Documents :
7194375 - A liveborn case of 49,xxxy, + 18.
2919045 - Strabismus in infancy.
24788785 - Bladder function development and its urodynamic evaluation in neonates and infants less...
3968825 - Pharmacologic suppression of the fetal adrenal gland in utero. attempted prevention of ...
2741855 - Manganese absorption from human milk, cow's milk, and infant formulas in humans.
24751635 - Necrotizing enterocolitis.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  85     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1995 May 
Date Detail:
Created Date:  1995-05-22     Completed Date:  1995-05-22     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  850-3     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, University of Miami School of Medicine, Florida, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arteriovenous Malformations* / drug therapy,  radiography,  ultrasonography
Cardiomegaly / ultrasonography
Hemangioma* / drug therapy,  radiography,  ultrasonography
Hepatic Artery / abnormalities*,  ultrasonography
Hepatic Veins / abnormalities*,  ultrasonography
Hydrocortisone / administration & dosage
Injections, Intravenous
Ultrasonography, Doppler, Color
Ultrasonography, Doppler, Pulsed
Ultrasonography, Prenatal
Umbilical Veins
Reg. No./Substance:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Prenatal detection of preaxial upper limb reduction in trisomy 18.
Next Document:  Prenatal diagnosis and management of massive bilateral axillary cystic lymphangioma.